Dr. Sheth's Probiotics & Azelaic Acid Serum

The CIR Expert Panel has confirmed this ingredient to be nontoxic and clinical studies show no sensitization at cosmetic use concentrations.

True allergic reactions are quite rare: a 15-year retrospective study of 6,751 patients found only 0.31% had a positive reaction (and less than half were considered clinically relevant).

It seemed that when sensitization does occur, it's most commonly linked to topical medication (like corticosteroids) and not cosmetics. Allergic contact dermatitis also appears largely limited to individuals with underlying skin conditions.

Overall, propylene glycol is a well-studied ingredient that most people can tolerate without issue.

This ingredient is volatile which means it will mostly evaporate (but it evaporates slower than older cyclomethicones, like Cyclotetrasiloxane).

Typical concentration ranges from 1-30% depending on if it's being used to tweak the feel of a product or acting as the main emollient.

It is also an emollient. Emollients help soften the skin and prevent water loss. Silicones create a silky texture in products. D5 helps other ingredients become more spreadable.

Studies show D5 is safe to use in skincare products. We recommend speaking with a skincare professional if you have concerns.

This root juice also contains antioxidant compounds (like chlorogenic acid and caffeic acid).

Just so you know, Yacon belongs to the daisy family so be sure to patch test if you have a known allergy to plants in that family.

As a polysaccharide, Maltodextrin has moisturizing properties. Polysaccharides are a type of carbohydrate. The top layer of skin uses polysaccharides to retain water, keeping the skin hydrated.

Maltodextrin is water soluble and has a sweet taste.

This ingredient is more of a microbiome agent rather than an active; it helps rebalance the skin's microbial community.

The bacteria and their metabolites produce lactic acid and other antimicrobial compounds that crowd out the "bad bacteria". Research on Lactobacillus strains shows activity against pathogens and acne-causing bacteria.

One strain, Lactobacillus plantarum, has also been shown to boost collagen synthesis and lower melanin synthesis in lab and clinical observation.

The most eye-catching data comes from acne research, a topical cream with live lactobacilli was well-tolerated and improved skin hydration by 37.3% after 14 days of use and 45.6% after 28 days.

Sources for this ingredient are usually fermented substrates like dairy, soy, or rice.

In general, this is a low-irritation and well-tolerated ingredient that plays nice with most of your routine.

One thing to keep in mind is that live bacteria are hard to keep alive inside of a skincare product. They struggle to survive on the shelf and don't get along with the preservatives that stop products from spoiling.

That's why you'll see ferment and postbiotic forms instead, like Lactobacillus Ferment or Lactobacillus Ferment Lysate.

There isn't a fixed percentage for this ingredient since it is dosed by strain and viable count.

On the fungal acne front: Lactobacillus is a bacterium (not a fungus). The whole culture contains no fatty acids, esters, or oils that Malassezia can feed on so it is considered fungal acne safe.

The CIR Expert Panel assessed the safety of 126 acrylates copolymers and concluded they are safe in cosmetics at current use levels when formulated to be non-irritating. They also noted the levels present in finished cosmetic products are not considered a safety risk and Genotoxicity testing (Ames tests, chromosomal aberration assays) has come back negative across the board.

Though the raw building blocks (like acrylic acid) can be irritating on their own, cosmetic-grade versions go through purification to keep levels extremely low.

Sodium Acrylates Copolymer is a large molecule that doesn't penetrate skin barrier in any meaningful way.

It plays well with most ingredients and is typically used at 0.1-1%. However, concentrations up to 50% have been reported in moisturizers.

Depending on the source of this ingredient, lecithin may not be fungal acne safe. This is because some sources of lecithin come from soybean oil, which may feed the malassezia yeast that causes fungal acne.

We recommend reaching out to the brand you are purchasing from to inquire about the source of their lecithin.

Here's an interesting thing about Arginine: your skin converts it into urea through the Krebs-Henseleit urea cycle. Urea is one of the most effective humectants your skin naturally produces.

A clinical study showed applying 2.5% arginine hydrochloride to atopic dermatitis skin showed significant urea levels in the stratum corneum and improved moisture in just four weeks.

Arginine is also a precursor to nitric oxide; nitric oxide improves microcirculation and supports wound healing and collagen synthesis.

One study found that an amino acid complex containing Arginine reduced skin irritation, improved hydration, and accelerated skin repair in clinical / in-vivo studies.

Arginine itself is an amino acid and not a fatty acid, oil, or ester. On its own, it's not a direct food source for Malassezia, or the yeast that causes fungal acne.

Ethoxydiglycol also helps deliver other key ingredients into the skin.

The Cosmetic Ingredient Review (CIR) Expert Panel evaluated it (along with 22 other acryloyldimethyltaurate polymers) and concluded it's:

Due to its large molecular size, it sits on the surface of skin rather than penetrating it.

Industry-reported use ranges from 8% in rinse-off products and 2% in leave-on formulations.

Polymethylsilsesquioxane has not been shown to clog pores. It has been deemed safe to use up to 55%, but most cosmetics use much less.

If you have concerns about using this ingredient, we recommend speaking with a professional.

Tocopheryl Acetate is commonly found in both skincare and dietary supplements.

On top of that, this ingredient can counteract the effects of hard water by binding to the minerals in it.

One thing worth knowing is that Disodium EDTA has been shown to be a mild penetration enhancer. It can help other ingredients absorb into skin more effectively which can be a double-edged sword (great for actives, but can also make the active too strong if you have sensitive skin).

Clinical patch testing showed no significant skin irritation at typical use concentrations and minimal dermal absorption.

You'll most likely see this ingredient near the end of an ingredient list. It's typically found in concentrations less than 1%.